One-stage posterior transforaminal lumbar debridement, 360° interbody fusion, and posterior instrumentation in treating lumbosacral spinal tuberculosis
| Autor: | Ping Wu, Dongzhe Li, Xiongjie Shen, Xiaoyang Pang, Xiyang Wang, Chenke Luo |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Sacrum medicine.medical_specialty Tuberculosis Adolescent medicine.medical_treatment Clinical study Young Adult Lumbar medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Lumbar Vertebrae business.industry One stage General Medicine Middle Aged medicine.disease Internal Fixators humanities Surgery Spinal Fusion Debridement Debridement (dental) Orthopedic surgery Feasibility Studies Female Posterior instrumentation Tuberculosis Spinal business Lumbosacral joint |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 133:1033-1039 |
| ISSN: | 1434-3916 0936-8051 |
| DOI: | 10.1007/s00402-013-1751-4 |
| Popis: | Retrospective analysis of the clinical study efficacy and feasibility of one-stage posterior transforaminal lumbar debridement, 360° interbody fusion, and posterior instrumentation in treating lumbosacral spinal tuberculosis.A total of 21 patients with lumbosacral tuberculosis (TB) collected from January 2004 to January 2010, underwent one-stage posterior transforaminal lumbar debridement, 360° interbody fusion, and posterior instrumentation. In addition, the clinical efficacy was evaluated based on the data on the lumbo-sacral angle, neuro-logical status that was recorded by American Spinal Injury Association (ASIA) Impairment Scale, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP), which were collected at specific time points.All cases were followed up for 16-36 months (average 24.9 ± 6.44 months). 18 patients suffered from evident neurological deficits preoperatively, of which 16 patients returned to normal at the final follow-up. Two patients with neurological dysfunction aggravated postoperative, experienced significant partial neurological recovery. With an effective and standard anti-TB chemotherapy treated, the values of ESR and CRP returned to normal levels 3-month later postoperative and maintained till the final follow-up. Preoperative lumbosacral angle was 20.89 ± 2.32° and returned 29.62 ± 1.41° postoperative. During long-term follow-up, there was only 1-3° lumbosacral angle loss. There was a significant difference between preoperative and postoperative lumbosacral angles.With effective and standard anti-TB chemotherapy, one-stage posterior transforaminal lumbar debridement, 360° interbody fusion, and posterior instrumentation for lumbosacral tuberculosis can effectively relieve pain symptoms, improve neurological function, and reconstruct the spinal stability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink